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October 1981

Transient Paraplegia Caused by Aortic Occlusion

Author Affiliations

From the Department of Neurology, Baylor College of Medicine (Drs Hoffman and Whitaker), and the Veterans Administration Medical Center (Dr Harati), Houston.

Arch Neurol. 1981;38(10):668-669. doi:10.1001/archneur.1981.00510100096021

Transient paraplegia has previously been reported in association with demyelinating disease, myelitis, vasculitis, and arteriovenous malformations of the spinal cord.1-5 We report an unusual case of a reversible paraplegia in the presence of complete occlusion of the abdominal aorta.

REPORT OF A CASE  A 51-year-old man with a history of mild congestive heart failure came to the emergency room with the acute onset of lowerback pain and paraplegia. The evening of admission, while he was walking in his home, a sudden pain developed in his lumbar region characterized as an electric shock that spread within minutes into his buttocks, thighs, legs, and feet. This was immediately followed by complete paralysis and numbness below the level of the groin. There was no complaint of difficulty with urination or defecation, and no history of weakness, pain, or paresthesias in his lower extremities.Examination two hours after the onset of symptoms revelated

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